Construct and differential item functioning in the assessment of prescription opioid use disorders among American adolescents.

dc.contributor.author

Wu, Li-Tzy

dc.contributor.author

Ringwalt, Christopher L

dc.contributor.author

Yang, Chongming

dc.contributor.author

Reeve, Bryce B

dc.contributor.author

Pan, Jeng-Jong

dc.contributor.author

Blazer, Dan G

dc.date.accessioned

2020-02-03T06:04:42Z

dc.date.available

2020-02-03T06:04:42Z

dc.date.issued

2009-05

dc.date.updated

2020-02-03T06:04:41Z

dc.description.abstract

OBJECTIVE:To examine the psychometric properties of diagnostic criteria for prescription analgesic opioid use disorders (OUDs) and to identify background predictors of a latent continuum for OUD liability. METHOD:Data were drawn from the adolescent sample of the 2006 National Survey of Drug Use and Health. Item response theory (IRT) and multiple indicators-multiple causes methods were used to examine DSM-IV criteria for OUDs in a subsample of adolescents who reported nonmedical prescription opioid use in the past year (N = 1,290). RESULTS:Among nonmedical users of prescription opioids, the criteria of OUDs were arrayed along a single continuum of severity. All abuse criteria were endorsed at a severity level higher than D1 (tolerance) and D5 (time spent) but lower than D3 (taking larger amounts) and D4 (inability to cut down). Differential item functioning in reports of dependence symptoms across adolescents' sex and race/ethnicity were identified: withdrawal, time spent, and continued use despite medical or psychological problems. Adjusting for the effects of differential item functioning and the demographic variables examined, female subjects were more likely than male subjects to exhibit a higher level of OUD liability. CONCLUSIONS:Study findings do not support the DSM-IV's current hierarchical distinction between abuse of and dependence on prescription opioids. Abuse symptoms in adolescents are not necessarily less severe than those of dependence. There is evidence of some differential item functioning in the assessment of OUDs.

dc.identifier

S0890-8567(09)60073-3

dc.identifier.issn

0890-8567

dc.identifier.issn

1527-5418

dc.identifier.uri

https://hdl.handle.net/10161/20010

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Journal of the American Academy of Child and Adolescent Psychiatry

dc.relation.isversionof

10.1097/CHI.0b013e31819e3f45

dc.subject

Humans

dc.subject

Opioid-Related Disorders

dc.subject

Analgesics, Opioid

dc.subject

Health Surveys

dc.subject

Factor Analysis, Statistical

dc.subject

Cross-Sectional Studies

dc.subject

Adolescent Behavior

dc.subject

Psychometrics

dc.subject

Socioeconomic Factors

dc.subject

Diagnostic and Statistical Manual of Mental Disorders

dc.subject

Adolescent

dc.subject

Child

dc.subject

United States

dc.subject

Female

dc.subject

Male

dc.subject

Prescription Drugs

dc.title

Construct and differential item functioning in the assessment of prescription opioid use disorders among American adolescents.

dc.type

Journal article

duke.contributor.orcid

Wu, Li-Tzy|0000-0002-5909-2259

duke.contributor.orcid

Reeve, Bryce B|0000-0002-6709-8714

pubs.begin-page

563

pubs.end-page

572

pubs.issue

5

pubs.organisational-group

School of Medicine

pubs.organisational-group

Duke

pubs.organisational-group

Center for Child and Family Policy

pubs.organisational-group

Sanford School of Public Policy

pubs.organisational-group

Duke Clinical Research Institute

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Duke Institute for Brain Sciences

pubs.organisational-group

University Institutes and Centers

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

Psychiatry & Behavioral Sciences, Social and Community Psychiatry

pubs.organisational-group

Psychiatry & Behavioral Sciences

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Medicine, General Internal Medicine

pubs.organisational-group

Medicine

pubs.organisational-group

Center for the Study of Aging and Human Development

pubs.organisational-group

Family Medicine and Community Health

pubs.organisational-group

Psychiatry & Behavioral Sciences, Geriatric Behavioral Health

pubs.organisational-group

Duke Cancer Institute

pubs.organisational-group

Population Health Sciences

pubs.organisational-group

Basic Science Departments

pubs.publication-status

Published

pubs.volume

48

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Wu 2009 Construct and differential item functioning in the assessment of prescription opioid use disorders among American adolescents..pdf
Size:
325.38 KB
Format:
Adobe Portable Document Format